NPI | 1013906866 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL S. MORTON President 479-783-4672 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: AR 661) |
Enumeration Date | 2005-10-14 |
Last Update Date | 2020-04-16 |